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Ultra‐Processed Food and Obesity: What Is the Evidence?

Dicken, Samuel J., Batterham, Rachel L.·2024·Current Nutrition Reports

Abstract

Purpose of Review: Obesity is a growing global healthcare concern. A proposed driver is the recent increase in ultra-processed food (UPF) intake. However, disagreement surrounds the concept of UPF, the strength of evidence, and suggested mechanisms. Therefore, this review aimed to critically appraise the evidence on UPF and obesity. Recent Findings: Observational studies demonstrate positive associations between UPF intake, weight gain, and overweight/obesity, more clearly in adults than children/adolescents. This is supported by high-quality clinical data. Several mechanisms are proposed, but current understanding is inconclusive. Summary: Greater UPF consumption has been a key driver of obesity. There is a need to change the obesogenic environment to support individuals to reduce their UPF intake. The UPF concept is a novel approach that is not explained with existing nutrient- and food-based frameworks. Critical analysis of methodologies provides confidence, but future observational and experimental research outputs with greater methodological rigor will strengthen findings, which are outlined.

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  1. Aune D, Sen A, Prasad M, Norat T, Janszky I, Tonstad S, et al. BMI and all cause mortality: systematic review and non-linear dose-response meta-analysis of 230 cohort studies with 3.74 million deaths among 30.3 million participants. BMJ. 2016;353:i2156.
  2. Taylor VH, Forhan M, Vigod SN, McIntyre RS, Morrison KM. The impact of obesity on quality of life. Best Pract Res Clin Endocrinol Metab. 2013;27:139–46. · DOI
  3. Okunogbe A, Nugent R, Spencer G, Ralston J, Wilding J. Economic impacts of overweight and obesity: current and future estimates for eight countries. BMJ Global Health. 2021;6(10):e006351. https://doi.org/10.1136/bmjgh-2021-006351. PMID: 34737167. · DOI
  4. Allison DB, Sørensen TIA, Hall KD, Speakman JR. Preface: causes of obesity, theories, conjectures and evidence. Philosophical Transactions of the Royal Society B: Biological Sciences. 2023;378:20220200. · DOI
  5. Swinburn BA, Sacks G, Hall KD, McPherson K, Finegood DT, Moodie ML, et al. The global obesity pandemic: shaped by global drivers and local environments. Lancet. 2011;378:804–14. · DOI · Paper page
  6. Heeren FAN, Darcey VL, Deemer SE, Menon S, Tobias D, Cardel MI. Breaking down silos: the multifaceted nature of obesity and the future of weight management. Philos Trans R Soc B Biol Sci. 2023;378:20220215. · DOI
  7. Vandevijvere S, De Pauw R, Djojosoeparto S, Gorasso V, Guariguata L, Løvhaug AL, Mialon M, Van Dam I, von Philipsborn P. Upstream determinants of overweight and obesity in Europe. Curr Obes Rep. 2023;12(4):417–28. https://doi.org/10.1007/s13679-023-00524-1. PMID: 37594616. · DOI
  8. • Popkin BM, Ng SW. The nutrition transition to a stage of high obesity and noncommunicable disease prevalence dominated by ultra-processed foods is not inevitable. Obes Rev. 2022;23:e13366. A review of the impact of increased UPF intake from a nutrition transition in recent decades, on obesity prevalence. · DOI
  9. van Boekel M, Fogliano V, Pellegrini N, Stanton C, Scholz G, Lalljie S, et al. A review on the beneficial aspects of food processing. Mol Nutr Food Res. 2010;54:1215–47. · DOI
  10. Jones JM. Food processing: criteria for dietary guidance and public health? Proc Nutr Soc. 2019;78:4–18. · DOI
  11. • Forde CG, Decker EA. The importance of food processing and eating behavior in promoting healthy and sustainable diets. Annu Rev Nutr. 2022;42:377–99. A critique of the concept of NOVA and UPF, and methodological limitations. · DOI
  12. Crino M, Barakat T, Trevena H, Neal B. Systematic review and comparison of classification frameworks describing the degree of food processing. Nutr Food Technol. 2017;3(1):138. https://doi.org/10.16966/2470-6086.138. · DOI
  13. Sadler CR, Grassby T, Hart K, Raats M, Sokolović M, Timotijevic L. Processed food classification: conceptualisation and challenges. Trends Food Sci Technol. 2021;112:149–62. · DOI
  14. Monteiro CA, Levy RB, Claro RM, de Castro IRR, Cannon G. A new classification of foods based on the extent and purpose of their processing. Cad Saude Publica. 2010;26:2039–49. · DOI · Paper page
  15. Monteiro CA, et al. The star shines bright. World Nutr J. 2016;7:28–38.
  16. Monteiro CA, Cannon G, Moubarac J-C, Levy RB, Louzada MLC, Jaime PC. The UN Decade of Nutrition, the NOVA food classification and the trouble with ultra-processing. Public Health Nutr. 2018;21:5–17. · DOI · Paper page
  17. Fardet A, Rock E. Ultra-processed foods: a new holistic paradigm? Trends Food Sci Technol. 2019;93:174–84. · DOI
  18. Dicken SJ, Qamar S, Batterham RL. Who consumes ultra-processed food? A systematic review of sociodemographic determinants of ultra-processed food consumption from nationally representative samples. Nutr Res Rev. 2023;1–41. https://doi.org/10.1017/S0954422423000240. PMID: 37905428. · DOI
  19. Steele EM, O’Connor LE, Juul F, Khandpur N, Galastri Baraldi L, Monteiro CA, et al. Identifying and estimating ultraprocessed food intake in the US NHANES according to the NOVA classification system of food processing. J Nutr. 2023;153:225–41. · DOI
  20. Askari M, Heshmati J, Shahinfar H, Tripathi N, Daneshzad E. Ultra-processed food and the risk of overweight and obesity: a systematic review and meta-analysis of observational studies. Int J Obes (Lond). 2020;44:2080–91. · DOI
  21. Moradi S, Entezari MH, Mohammadi H, Jayedi A, Lazaridi AV, Kermani MAH, Miraghajani M. Ultra-processed food consumption and adult obesity risk: a systematic review and dose-response meta-analysis. Crit Rev Food Sci Nutr. 2023;63(2):249–60. https://doi.org/10.1080/10408398.2021.1946005. PMID: 34190668. · DOI · Paper page
  22. Lane MM, Davis JA, Beattie S, Gómez-Donoso C, Loughman A, O’Neil A, et al. Ultraprocessed food and chronic noncommunicable diseases: a systematic review and meta-analysis of 43 observational studies. Obes Rev. 2021;22:e13146. · DOI · Paper page
  23. Pagliai G, Dinu M, Madarena MP, Bonaccio M, Iacoviello L, Sofi F. Consumption of ultra-processed foods and health status: a systematic review and meta-analysis. Br J Nutr. 2021;125:308–18. · DOI · Paper page
  24. Mambrini SP, Menichetti F, Ravella S, Pellizzari M, De Amicis R, Foppiani A, et al. Ultra-processed food consumption and incidence of obesity and cardiometabolic risk factors in adults: a systematic review of prospective studies. Nutrients. 2023;15:2583. · DOI
  25. Wang Z, Lu C, Cui L, Fenfen E, Shang W, Wang Z, et al. Consumption of ultra-processed foods and multiple health outcomes: an umbrella study of meta-analyses. Food Chem. 2024;434:137460. · DOI
  26. Petridi E, Karatzi K, Magriplis E, Charidemou E, Philippou E, Zampelas A. The impact of ultra-processed foods on obesity and cardiometabolic comorbidities in children and adolescents: a systematic review. Nutr Rev. 2023;nuad095. https://doi.org/10.1093/nutrit/nuad095. PMID: 37550263. · DOI
  27. De Amicis R, Mambrini SP, Pellizzari M, Foppiani A, Bertoli S, Battezzati A, et al. Ultra-processed foods and obesity and adiposity parameters among children and adolescents: a systematic review. Eur J Nutr. 2022;61:2297–311. · DOI
  28. Teo PS, Lim AJ, Goh AT, Choy JY, McCrickerd K, et al. Texture-based differences in eating rate influence energy intake for minimally processed and ultra-processed meals. Am J Clin Nutr. 2022;116:244–54. · DOI
  29. Beslay M, Srour B, Méjean C, Allès B, Fiolet T, Debras C, et al. Ultra-processed food intake in association with BMI change and risk of overweight and obesity: a prospective analysis of the French NutriNet-Santé cohort. PLoS Med. 2020;17:e1003256. · DOI
  30. Cordova R, Kliemann N, Huybrechts I, Rauber F, Vamos EP, Levy RB, et al. Consumption of ultra-processed foods associated with weight gain and obesity in adults: a multi-national cohort study. Clin Nutr. 2021;40:5079–88. · DOI
  31. Tan LJ, Hwang SB, Shin S. The longitudinal effect of ultra-processed food on the development of dyslipidemia/obesity as assessed by the NOVA system and food compass score. Mol Nutr Food Res. 2023;67(20):e2300003. https://doi.org/10.1002/mnfr.202300003. PMID: 37650269. · DOI
  32. Vilela S, Magalhães V, Severo M, Oliveira A, Torres D, Lopes C. Effect of the food processing degree on cardiometabolic health outcomes: a prospective approach in childhood. Clin Nutr. 2022;41:2235–43. · DOI
  33. Levy RB, Barata MF, Leite MA, Andrade GC. How and why ultra-processed foods harm human health. Proc Nutr Soc. 2023;1–8. https://doi.org/10.1017/S0029665123003567. PMID: 37424296. · DOI
  34. Gibney MJ. Ultra-processed foods in public health nutrition: the unanswered questions. Public Health Nutr. 2023;26:1380–3. · DOI
  35. Tobias DK, Hall KD. Eliminate or reformulate ultra-processed foods? Biological mechanisms matter Cell Metab. 2021. https://doi.org/10.1016/j.cmet.2021.10.005. · DOI · Paper page
  36. •• Dicken SJ, Batterham RL. The role of diet quality in mediating the association between ultra-processed food intake, obesity and health-related outcomes: a review of prospective cohort studies. Nutrients. 2022;14:23. https://doi.org/10.3390/nu14010023. PMID: 35010898. The first comprehensive review investigating whether diet quality explains the association between UPF intake and obesity indicators, demonstrating little impact on associations with adjustment. · DOI · Paper page
  37. Valicente VM, Peng C-H, Pacheco KN, Lin L, Kielb EI, Dawoodani E, et al. Ultraprocessed foods and obesity risk: a critical review of reported mechanisms. Adv Nutr. 2023;14:718–38. · DOI
  38. Gearhardt AN, Bueno NB, DiFeliceantonio AG, Roberto CA, Jiménez-Murcia S, Fernandez-Aranda F. Social, clinical, and policy implications of ultra-processed food addiction. BMJ. 2023;383:e075354.
  39. Astrup A, Monteiro CA. Does the concept of “ultra-processed foods” help inform dietary guidelines, beyond conventional classification systems? NO. Am J Clin Nutr. 2022;116(6):1482–8. https://doi.org/10.1093/ajcn/nqac123. PMID: 35670128. · DOI
  40. Lockyer S, Spiro A, Berry S, He J, Loth S, Martinez-Inchausti A, et al. ow do we differentiate not demonise – is there a role for healthier processed foods in an age of food insecurity? Proceedings of a roundtable event. Nutr Bull. 2023;48:278–95. · DOI
  41. Dicken SJ, Batterham RL, Brown A. Nutrients or processing? An analysis of food and drink items from the UK National Diet and Nutrition Survey based on nutrient content, the NOVA classification, and front of package traffic light labelling. medRxiv. 2023;2023.04.24.23289024. · DOI
  42. Gupta S, Hawk T, Aggarwal A, Drewnowski A. Characterizing ultra-processed foods by energy density, nutrient density, and cost. Front Nutr. 2019;6:70. · DOI
  43. Forde CG. Beyond ultra-processed: considering the future role of food processing in human health. Proceedings of the Nutrition Society. 2023;82:406–18. · DOI
  44. Wang Y, Wang K, Du M, Khandpur N, Rossato SL, Lo C-H, et al. Maternal consumption of ultra-processed foods and subsequent risk of offspring overweight or obesity: results from three prospective cohort studies. BMJ. 2022;379:e071767. · DOI · Paper page
  45. Pan F, Wang Z, Wang H, Zhang J, Su C, Jia X, et al. Association between ultra-processed food consumption and metabolic syndrome among adults in China-results from the China health and nutrition survey. Nutrients. 2023;15:752. · DOI
  46. González-Palacios S, Oncina-Cánovas A, García-de-la-Hera M, Martínez-González MÁ, Salas-Salvadó J, Corella D, et al. Increased ultra-processed food consumption is associated with worsening of cardiometabolic risk factors in adults with metabolic syndrome: longitudinal analysis from a randomized trial. Atherosclerosis. 2023;377:12–23. · DOI
  47. Pang T, Gray HL, Alman AC, Buro AW, Basu A, Lu S, et al. Ultra-processed food consumption and obesity indicators in individuals with and without type 1 diabetes mellitus: a longitudinal analysis of the prospective Coronary Artery Calcification in Type 1 Diabetes (CACTI) cohort study. Public Health Nutr. 2023;26:1626–33. · DOI
  48. Santos FSD, Martinez Steele E, Costa CDS, Gabe KT, Leite MA, Claro RM, Touvier M, Srour B, da Costa Louzada ML, Levy RB, Monteiro CA. Nova diet quality scores and risk of weight gain in the NutriNet-Brasil cohort study. Public Health Nutr. 2023;26(11):2366–73. https://doi.org/10.1017/S1368980023001532. PMID: 37522809. · DOI
  49. Pan F, Zhang T, Mao W, Zhao F, Luan D, Li J. Ultra-processed food consumption and risk of overweight or obesity in chinese adults: Chinese Food Consumption Survey 2017–2020. Nutrients. 2023;15:4005. · DOI
  50. Mendonça RD, Pimenta AM, Gea A, de la Fuente-Arrillaga C, Martinez-Gonzalez MA, Lopes ACS, et al. Ultraprocessed food consumption and risk of overweight and obesity: the University of Navarra Follow-Up (SUN) cohort study. Am J Clin Nutr. 2016;104:1433–40. · DOI · Paper page
  51. Rohatgi KW, Tinius RA, Cade WT, Steele EM, Cahill AG, Parra DC. Relationships between consumption of ultra-processed foods, gestational weight gain and neonatal outcomes in a sample of US pregnant women. PeerJ. 2017;5:e4091. · DOI
  52. Canhada SL, Luft VC, Giatti L, Duncan BB, Chor D, Maria de Jesus M, et al. Ultra-processed foods, incident overweight and obesity, and longitudinal changes in weight and waist circumference: the Brazilian Longitudinal Study of Adult Health (ELSA-Brasil). Public Health Nutr. 2020;23:1076–86. · DOI
  53. Sandoval-Insausti H, Jiménez-Onsurbe M, Donat-Vargas C, Rey-García J, Banegas JR, Rodríguez-Artalejo F, et al. Ultra-processed food consumption is associated with abdominal obesity: a prospective cohort study in older adults. Nutrients. 2020;12:2368. · DOI
  54. Li M, Shi Z. Ultra-processed food consumption associated with overweight/obesity among Chinese adults—results from China Health and Nutrition Survey 1997–2011. Nutrients. 2021;13:2796. · DOI
  55. Konieczna J, Morey M, Abete I, Bes-Rastrollo M, Ruiz-Canela M, Vioque J, et al. Contribution of ultra-processed foods in visceral fat deposition and other adiposity indicators: prospective analysis nested in the PREDIMED-Plus trial. Clin Nutr. 2021;40:4290–300. · DOI
  56. Chang K, Khandpur N, Neri D, Touvier M, Huybrechts I, Millett C, et al. Association between childhood consumption of ultraprocessed food and adiposity trajectories in the Avon longitudinal study of parents and children birth cohort. JAMA Pediatr. 2021;175:e211573. · DOI
  57. Costa CS, Rauber F, Leffa PS, Sangalli CN, Campagnolo PDB, Vitolo MR. Ultra-processed food consumption and its effects on anthropometric and glucose profile: a longitudinal study during childhood. Nutr Metab Cardiovasc Dis. 2019;29:177–84. · DOI
  58. Wirunsawanya K, Upala S, Jaruvongvanich V, Sanguankeo A. Whey protein supplementation improves body composition and cardiovascular risk factors in overweight and obese patients: a systematic review and meta-analysis. J Am Coll Nutr. 2018;37:60–70. · DOI
  59. Derbyshire E. Are all ‘ultra-processed’ foods nutritional demons? A commentary and nutritional profiling analysis. Trends Food Sci Technol. 2019;94:98–104. · DOI
  60. Fazzino TL, Rohde K, Sullivan DK. Hyper-palatable foods: development of a quantitative definition and application to the US food system database. Obesity. 2019;27:1761–8. · DOI
  61. Fazzino TL, Courville AB, Guo J, Hall KD. Ad libitum meal energy intake is positively influenced by energy density, eating rate and hyper-palatable food across four dietary patterns. Nat Food. 2023;4(2):144–7. https://doi.org/10.1038/s43016-022-00688-4. PMID: 37117850. · DOI · Paper page
  62. Ohkuma T, Hirakawa Y, Nakamura U, Kiyohara Y, Kitazono T, Ninomiya T. Association between eating rate and obesity: a systematic review and meta-analysis. Int J Obes. 2015;39:1589–96. · DOI
  63. Forde CG, Mars M, de Graaf K. Ultra-processing or oral processing? A role for energy density and eating rate in moderating energy intake from processed foods. Curr Dev Nutr. 2020;4(3):nzaa019. https://doi.org/10.1093/cdn/nzaa019. PMID: 32110771. · DOI · Paper page
  64. Lasschuijt M, Camps G, Mars M, Siebelink E, de Graaf K, Bolhuis D. Speed limits: the effects of industrial food processing and food texture on daily energy intake and eating behaviour in healthy adults. Eur J Nutr. 2023;62:2949–62. · DOI
  65. Neumann NJ, Fasshauer M. Added flavors: potential contributors to body weight gain and obesity? BMC Med. 2022;20:417. · DOI
  66. Small DM, DiFeliceantonio AG. Processed foods and food reward. Science. 2019;363:346–7. · DOI · Paper page
  67. Veldhuizen MG, Babbs RK, Patel B, Fobbs W, Kroemer NB, Garcia E, et al. Integration of sweet taste and metabolism determines carbohydrate reward. Curr Biol. 2017;27:2476–85.e6. · DOI
  68. Teo PS, Tso R, van Dam RM, Forde CG. Taste of modern diets: the impact of food processing on nutrient sensing and dietary energy intake. J Nutr. 2022;152:200–10. · DOI
  69. Kelly AL, Baugh ME, Oster ME, DiFeliceantonio AG. The impact of caloric availability on eating behavior and ultra-processed food reward. Appetite. 2022;178:106274. · DOI
  70. Jaime-Lara RB, Franks AT, Agarwal K, Nawal N, Courville AB, Guo J, Yang S, Brooks BE, Roy A, Taylor K, Darcey VL, LeCheminant JD, Chung S, Forde CG, Hall KD, Joseph PV. No significant salt or sweet taste preference or sensitivity differences following ad libitum consumption of ultra-processed and unprocessed diets: a randomized controlled pilot study. Chem Senses. 2023;48:bjad007. https://doi.org/10.1093/chemse/bjad007. PMID: 36897799. · DOI
  71. Fazzino TL, Dorling JL, Apolzan JW, Martin CK. Meal composition during an ad libitum buffet meal and longitudinal predictions of weight and percent body fat change: the role of hyper-palatable, energy dense, and ultra-processed foods. Appetite. 2021;167:105592. · DOI
  72. David IA, Krutman L, Fernández-Santaella MC, Andrade JR, Andrade EB, Oliveira L, et al. Appetitive drives for ultra-processed food products and the ability of text warnings to counteract consumption predispositions. Public Health Nutr. 2018;21:543–57. · DOI
  73. Delgado-Rodríguez R, Moreno-Padilla M, Moreno-Domínguez S, Cepeda-Benito A. Food addiction correlates with emotional and craving reactivity to industrially prepared (ultra-processed) and home-cooked (processed) foods but not unprocessed or minimally processed foods. Food Qual Prefer. 2023;110:104961. · DOI
  74. Lemos TC, Coutinho GMS, Silva LAA, Stariolo JB, Campagnoli RR, Oliveira L, et al. Ultra-processed foods elicit higher approach motivation than unprocessed and minimally processed foods. Front Public Health. 2022;10:891546. · DOI
  75. Fardet A, Méjean C, Labouré H, Andreeva VA, Feron G. The degree of processing of foods which are most widely consumed by the French elderly population is associated with satiety and glycemic potentials and nutrient profiles. Food Funct. 2017;8:651–8. · DOI
  76. Rogers PJ, Vural Y, Berridge-Burley N, Butcher C, Cawley E, Gao Z, Sutcliffe A, Tinker L, Zeng X, Flynn AN, Brunstrom JM, Brand-Miller JC. Evidence that carbohydrate-to-fat ratio and taste, but not energy density or NOVA level of processing, are determinants of food liking and food reward. Appetite. 2024;193:107124. https://doi.org/10.1016/j.appet.2023.107124. PMID: 37980953. · DOI
  77. Romero Ferreiro C, Lora Pablos D, Gómez de la Cámara A. Two dimensions of nutritional value: nutri-score and NOVA. Nutrients. 2021;13(8):2783. https://doi.org/10.3390/nu13082783. PMID: 34444941. · DOI
  78. Hess JM, Comeau ME, Casperson S, Slavin JL, Johnson GH, Messina M, Raatz S, Scheett AJ, Bodensteiner A, Palmer DG. Dietary guidelines meet NOVA: developing a menu for a healthy dietary pattern using ultra-processed foods. J Nutr. 2023;153(8):2472–81. https://doi.org/10.1016/j.tjnut.2023.06.028. PMID: 37356502. · DOI
  79. Dicken SJ, Batterham RL, Brown A. Nutrients or processing? An analysis of food and drink items from the UK National Diet and Nutrition Survey based on nutrient content, the NOVA classification, and front of package traffic light labelling. Br J Nutr. 2024;1–35. https://doi.org/10.1017/S0007114524000096. · DOI
  80. de Castro JM. Eating behavior: lessons from the real world of humans. Nutrition. 2000;16:800–13. · DOI
  81. Gibney MJ, Forde CG. Nutrition research challenges for processed food and health. Nat Food. 2022;3:104–9. · DOI
  82. O’Connor LE, Higgins KA, Smiljanec K, Bergia R, Brown AW, Baer D, Davis C, Ferruzzi MG, Miller K, Rowe S, Rueda JMW, Andres A, Cash SB, Coupland J, Crimmins M, Fiecke C, Forde CG, Fukagawa NK, Hall KD, Hamaker B, Herrick KA, Hess JM, Heuven LA, Juul F, Malcomson FC, Martinez-Steele E, Mattes RD, Messina M, Mitchell A, Zhang FF. Perspective: a research roadmap about ultra-processed foods and human health for the United States Food System: proceedings from an interdisciplinary, multi-stakeholder workshop. Adv Nutr. 2023;14(6):1255–69. https://doi.org/10.1016/j.advnut.2023.09.005. PMID: 37722488. · DOI
  83. Gibney MJ. Ultra-processed foods: definitions and policy issues. Curr Dev Nutr. 2018;3(2):nzy077. https://doi.org/10.1093/cdn/nzy077. PMID: 30820487. · DOI
  84. Marino M, Puppo F, Del Bo’ C, Vinelli V, Riso P, Porrini M, Martini D. A systematic review of worldwide consumption of ultra-processed foods: findings and criticisms. Nutrients. 2021;13(8):2778. https://doi.org/10.3390/nu13082778. PMID: 34444936. · DOI
  85. Braesco V, Souchon I, Sauvant P, Haurogné T, Maillot M, Féart C, et al. Ultra-processed foods: how functional is the NOVA system? Eur J Clin Nutr. 2022;76:1245–53. · DOI · Paper page
  86. Khandpur N, Rossato S, Drouin-Chartier J-P, Du M, Steele EM, Sampson L, et al. Categorising ultra-processed foods in large-scale cohort studies: evidence from the Nurses’ Health Studies, the Health Professionals Follow-up Study, and the Growing Up Today Study. J Nutr Sci. 2021;10:e77. · DOI · Paper page
  87. Huybrechts I, Rauber F, Nicolas G, Casagrande C, Kliemann N, Wedekind R, et al. Characterization of the degree of food processing in the European Prospective Investigation into Cancer and Nutrition: application of the NOVA classification and validation using selected biomarkers of food processing. Front Nutr. 2022;9. https://www.frontiersin.org/articles/10.3389/fnut.2022.1035580. Accessed 29 Jun 2023. · DOI · Paper page
  88. Sneed NM, Ukwuani S, Sommer EC, Samuels LR, Truesdale KP, Matheson D, et al. Reliability and validity of assigning ultraprocessed food categories to 24-h dietary recall data. Am J Clin Nutr. 2023;117:182–90. · DOI · Paper page
  89. Machado PP, Steele EM, Levy RB, Sui Z, Rangan A, Woods J, et al. Ultra-processed foods and recommended intake levels of nutrients linked to non-communicable diseases in Australia: evidence from a nationally representative cross-sectional study. BMJ Open. 2019;9:e029544. · DOI
  90. Oviedo-Solís CI, Monterrubio-Flores EA, Rodríguez-Ramírez S, Cediel G, Denova-Gutiérrez E, Barquera S. A semi-quantitative food frequency questionnaire has relative validity to identify groups of NOVA food classification system among Mexican adults. Front Nutr. 2022;9:737432. https://doi.org/10.3389/fnut.2022.737432. PMID: 35187027. · DOI · Paper page
  91. Fangupo LJ, Haszard JJ, Leong C, Heath AM, Fleming EA, Taylor RW. Relative validity and reproducibility of a food frequency questionnaire to assess energy intake from minimally processed and ultra-processed foods in young children. Nutrients. 2019;11(6):1290. https://doi.org/10.3390/nu11061290. PMID: 31181631. · DOI · Paper page
  92. Oviedo-Solís CI, Monterrubio-Flores EA, Cediel G, Denova-Gutiérrez E, Barquera S. Relative validity of a semi-quantitative food frequency questionnaire to estimate dietary intake according to the NOVA classification in Mexican children and adolescents. J Acad Nutr Diet. 2022;122:1129–40. · DOI · Paper page
  93. Jung S, Park S, Kim JY. Comparison of dietary share of ultra-processed foods assessed with a FFQ against a 24-h dietary recall in adults: results from KNHANES 2016. Public Health Nutr. 2022;25:1–10. · DOI
  94. Dinu M, Bonaccio M, Martini D, Madarena MP, Vitale M, Pagliai G, Esposito S, Ferraris C, Guglielmetti M, Rosi A, Angelino D. Reproducibility and validity of a food-frequency questionnaire (NFFQ) to assess food consumption based on the NOVA classification in adults. Int J Food Sci Nutr. 2021;72(6):861–9. https://doi.org/10.1080/09637486.2021.1880552. PMID: 33550856. · DOI · Paper page
  95. Costa CDS, Faria FR, Gabe KT, Sattamini IF, Khandpur N, Leite FHM, Steele EM, Louzada MLDC, Levy RB, Monteiro CA. Nova score for the consumption of ultra-processed foods: description and performance evaluation in Brazil. Rev Saude Publica. 2021;55:13. https://doi.org/10.11606/s1518-8787.2021055003588. PMID: 33886951. · DOI
  96. Willett W, Lenart E. Reproducibility and validity of food frequency questionnaires. In: Willett W, editor. Nutritional epidemiology. Oxford University Press; 2012. · DOI
  97. Neri D, Gabe KT, Costa CDS, Martinez Steele E, Rauber F, Marchioni DM, da Costa Louzada ML, Levy RB, Monteiro CA. A novel web-based 24-h dietary recall tool in line with the Nova food processing classification: description and evaluation. Public Health Nutr. 2023;26(10):1997–2004. https://doi.org/10.1017/S1368980023001623. PMID: 37548217. · DOI
  98. Martínez Steele E, Khandpur N, da Costa Louzada ML, Monteiro CA. Association between dietary contribution of ultra-processed foods and urinary concentrations of phthalates and bisphenol in a nationally representative sample of the US population aged 6 years and older. PLOS ONE. 2020;15(7):e0236738. https://doi.org/10.1371/journal.pone.0236738. · DOI · Paper page
  99. Schwingshackl L, Schünemann HJ, Meerpohl JJ. Improving the trustworthiness of findings from nutrition evidence syntheses: assessing risk of bias and rating the certainty of evidence. Eur J Nutr. 2021;60:2893–903. · DOI
  100. Schwingshackl L, Balduzzi S, Beyerbach J, Bröckelmann N, Werner SS, Zähringer J, et al. Evaluating agreement between bodies of evidence from randomised controlled trials and cohort studies in nutrition research: meta-epidemiological study. BMJ. 2021;374:n1864. · DOI
  101. Moorthy D, Chung M, Lee J, Yu WW, Lau J, Trikalinos TA. Concordance between the findings of epidemiological studies and randomized trials in nutrition: an empirical evaluation and citation analysis: Nutritional research series, Vol. 6. Rockville (MD): Agency for Healthcare Research and Quality (US); 2013. http://www.ncbi.nlm.nih.gov/books/NBK138246/. Accessed 17 Sep 2023.
  102. Martinez-Steele E, Khandpur N, Batis C, Bes-Rastrollo M, Bonaccio M, Cediel G, et al. Best practices for applying the NOVA food classification system. Nat Food. 2023;4:445–8. · DOI · Paper page
  103. Menichetti G, Ravandi B, Mozaffarian D, Barabási A-L. Machine learning prediction of the degree of food processing. Nat Commun. 2023;14:2312. · DOI
  104. Juul F, Deierlein AL, Vaidean G, Quatromoni PA, Parekh N. Ultra-processed foods and cardiometabolic health outcomes: from evidence to practice. Curr Atheroscler Rep. 2022;24:849–60. · DOI
  105. Astrup A, Monteiro CA. Does the concept of “ultra-processed foods” help inform dietary guidelines, beyond conventional classification systems? Debate consensus. Am J Clin Nutr. 2022;116(6):1489–91. https://doi.org/10.1093/ajcn/nqac230. PMID: 36253965. · DOI
  106. Lacy-Nichols J, Freudenberg N. Opportunities and limitations of the ultra-processed food framing. Nat Food. 2022;3:975–7. · DOI
  107. Wood B, Robinson E, Baker P, Paraje G, Mialon M, van Tulleken C, et al. What is the purpose of ultra-processed food? An exploratory analysis of the financialisation of ultra-processed food corporations and implications for public health. Glob Health. 2023;19:85. · DOI
  108. Wood B, Williams O, Baker P, Sacks G. Behind the ‘creative destruction’ of human diets: An analysis of the structure and market dynamics of the ultra-processed food manufacturing industry and implications for public health. J Agrar Change. 2023;23(4):811–43. https://doi.org/10.1111/joac.12545. · DOI · Paper page
  109. Hashem KM, He FJ, MacGregor GA. Effects of product reformulation on sugar intake and health—a systematic review and meta-analysis. Nutr Rev. 2019;77:181–96. · DOI
  110. Robinson E, Khuttan M, McFarland-Lesser I, Patel Z, Jones A. Calorie reformulation: a systematic review and meta-analysis examining the effect of manipulating food energy density on daily energy intake. Int J Behav Nutr Phys Act. 2022;19:48. · DOI
  111. Fardet A, Rock E. Toward a new philosophy of preventive nutrition: from a reductionist to a holistic paradigm to improve nutritional recommendations1. Adv Nutr. 2014;5:430–46. · DOI
  112. Jacobs DR, Gross MD, Tapsell LC. Food synergy: an operational concept for understanding nutrition1234. Am J Clin Nutr. 2009;89:1543S–8S. · DOI
  113. Dicken SJ, Batterham RL. Ultra-processed food: a global problem requiring a global solution. Lancet Diabetes Endocrinol. 2022;10:691–4. · DOI

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Metadata

Authors
Dicken, S. J., & Batterham, R. L.
Venue
Current Nutrition Reports
Published
2024-01-31
Volume
13
Issue
1
Pages
23-38
ISSN
2161-3311
Cited by
133
References
7
Language
en
Funders
  • Medical Research Council (MR/N013867/1)
  • National Institute for Health and Care Research
  • Sir Jules Thorn Charitable Trust
  • Rosetrees Trust

About these checks

Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

Statistics and arithmetic are recomputed, not judged.

Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.

What counts as a claim ›How we measure confidence ›How we check this ›

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